Case Manager (Skilled Nursing Facilities) - Remote

Overview

This role requires a Case Manager with Skilled Nursing Facilities experience to manage healthcare accounts and ensure seamless claims processing and authorizations.

In Short

• Remote role for South African citizens only.
• Work hours are Monday to Friday, 9am to 6pm EST.
• Requires a minimum of 1-year experience in the USA Healthcare Industry.
• Strong knowledge of medical billing and case management is essential.
• Internet speed of at least 25 Mbps is mandatory.
• Power backup solution required for managing outages.
• Manage healthcare accounts and oversee medical billing processes.
• Coordinate approvals and review clinicals.
• Follow up on claims and resolve denials.
• Ensure compliance with healthcare regulations.

Requirements

• Minimum 1-year experience in the USA Healthcare Industry.
• Strong knowledge of medical billing and claims processing.
• Experience in case management and reviewing clinicals.
• Proficiency in MS Office, especially Excel and Outlook.
• Fixed fibre internet connection with minimum speed of 25 Mbps.
• Reliable power backup solution.
• Ability to work USA hours.
• Must be a South African citizen.
• Strong communication skills.
• Ability to work in a remote environment.

Benefits

• Work from home flexibility.
• Opportunity to work with a global BPO company.
• Gain experience in the healthcare sector.
• Collaborate with clinical and administrative teams.
• Support seamless patient care and billing processes.